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MANAGEMENT OF AVASCULAR PERIPHERAL RETINA IN OLDER PREMATURELY BORN INFANTS.
MedLine Citation:
PMID:  21358456     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE:: To report on the authors' experience with presentation and management of prematurely born infants who do not fully vascularize after 45 weeks of postmenstrual age (PMA). METHODS:: Retrospective, noncomparative, consecutive case series consisting of premature infants with retinopathy of prematurity (ROP) who were treated with laser ablation after 45 weeks of PMA at a single tertiary referral institution. RESULTS:: A total of 370 premature infants with ROP were treated at this institution from January 1, 2006, to August 1, 2009. Eighteen eyes of 9 patients received laser photocoagulation after 45 weeks of PMA and were included in this series. The mean gestational age for this subgroup was 26 weeks and 2 days, and mean birth weight was 792 g. Type 1 ROP developed in 3 infants after 45 weeks of PMA and received laser treatment, and 6 infants without Type 1 ROP received laser treatment for an avascular peripheral retina, evidence of peripheral neovascularization, and/or ROP in Zone 3 with persistent plus disease. CONCLUSION:: This series represents our experience in the management of prematurely born infants with ROP after 45 weeks of PMA. One may consider close observation or laser ablation for the management of infants who have incomplete peripheral retinal vascularization, peripheral neovascularization, and/or ROP in Zone 3 with persistent plus disease.
Authors:
Lawrence Y Ho; Vincent Ho; Himanshu Aggarwal; Tushar M Ranchod; Antonio Capone; Michael T Trese; Kimberly A Drenser
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-24
Journal Detail:
Title:  Retina (Philadelphia, Pa.)     Volume:  -     ISSN:  1539-2864     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-3-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309919     Medline TA:  Retina     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Associated Retinal Consultants, Beaumont Eye Institute, Royal Oak, Michigan; †The Ohio State University College of Medicine, Havener Eye Institute, Columbus, Ohio; and †Henry Ford Hospital, Department of Ophthalmology, Detroit, Michigan.
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